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The Relationship Between Service Quality and Outpatient Repeat Visit Interest at the Integrated Service Unit of Adi Husada Kapasari Hospital Saputra, Reinaldo Dwiki; Hermanto Wijaya; Afif Kurniawan; Yura Witsqa Firmansyah
Jurnal Kesehatan dan Kedokteran Vol. 4 No. 3 (2025): Oktober: Jurnal Kesehatan dan Kedokteran
Publisher : Asosiasi Dosen Muda Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56127/jukeke.v4i3.2278

Abstract

The quality of hospital services is an important factor that influences patient perception, satisfaction, and loyalty. This study aims to analyze the relationship between service quality and the interest of outpatients in revisiting the Integrated Service Unit at Adi Husada Kapasari Hospital. This quantitative cross-sectional study involved 68 respondents selected through purposive sampling from a population of 6,155 patients during the period March–June 2025. Service quality was measured using six dimensions: safe, effective, patient-centered, timely, efficient, and equitable. The interest in revisiting was measured based on the willingness of patients to return to use the services. Data analysis was performed using Spearman's rho correlation test. The results showed that all dimensions of service quality were in the good category, with the highest scores in the safe, efficient, and equitable dimensions (94.1%) and the lowest in the effective dimension (83.8%). Patient interest in return visits was very high, with 98.5% of respondents expressing interest in returning for treatment. However, the correlation test showed no significant relationship between service quality and interest in return visits (r = –0.026; p = 0.832). These findings indicate that even though service quality is high, other factors beyond service quality, such as location, cost, promotion, and third-party recommendations, are likely to have a greater influence on patients' decisions to return. Further research is recommended to explore other variables that may influence patients' interest in revisiting.
Effectiveness of Augmented Reality-Based Therapeutic Patient Education (TPE-AR DM2) Integrated with the Chronic Care Model on The Independence of Posyandu Cadres in Managing Diabetes Mellitus Novita Fajriyah; Rina Budi Kristiani; Hermanto Wijaya
ABDIMAS: Jurnal Pengabdian Masyarakat Vol. 8 No. 4 (2025): ABDIMAS UMTAS: Jurnal Pengabdian Kepada Masyarakat
Publisher : LPPM Universitas Muhammadiyah Tasikmalaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35568/abdimas.v8i4.7193

Abstract

Diabetes mellitus is a chronic disease that requires continuous management. Integrated Health Service Post (Posyandu) cadres play a crucial role in supporting community education and mentoring, but their independence is often limited. The implementation of Augmented Reality-based Therapeutic Patient Education (TPE-AR DM2) with the Chronic Care Model (CCM) approach is an innovation expected to increase cadre independence in managing diabetes mellitus. Community service objectives are to determine the effectiveness of implementing TPE-AR DM2 with the CCM approach on Posyandu cadre independence in managing diabetes mellitus. This quasi-experimental study used a pre-test and post-test design involving 25 posyandu cadres as respondents who received the TPE-AR DM2 with ccm intervention over a 5-week intervention period. Cadre independence was measured based on five operational indicators: (1) knowledge, (2) ability to operate the TPE-AR DM2 application, (3) glucometer skills, (4) diabetic foot exercise skills, and (5) therapeutic communication skills. Data analysis used the n-gain test to assess the effectiveness of the intervention. The study showed a significant increase in all indicators of cadre independence after the intervention. The average knowledge score increased from 40.22 to 83.34 (N-gain = 0.72), the ability to operate the TPE-AR DM2 application from 35.96 to 84.72 (N-gain = 0.76), glucometer skills from 45.84 to 85.60 (N-gain = 0.73), diabetic foot exercise skills from 45.84 to 91.60 (N-gain = 0.84), and therapeutic communication skills from 32.02 to 82.60 (N-gain = 0.74). All N-gain values >0.7 indicate the high effectiveness of the intervention in increasing the independence of Posyandu cadres. Conclusion: The implementation of TPE-AR DM2 with the Chronic Care Model approach has been proven effective in increasing the independence of Posyandu cadres in managing diabetes mellitus. This innovation can be a technology-based cadre empowerment strategy to support chronic disease management at the community level.